Chris Tanner , PhD, RN
 |
Youmans Spaulding Distinguished Professor |
"My program of research focuses on development of expertise in clinical judgment and the impact of different education models on the development of skill in clinical judgment. Most of my early studies were qualitative accounts of processes of clinical judgment used by both nursing students and nurses. I have had the good fortune of being able to collaborate with talented investigators and doctoral students; I worked with Patricia Benner and Kit Chesla on a large, multi-site interpretive study examining the development of expertise in critical care nursing. More recently, using telephone advice nursing as the practice environment, I collaborated with investigators at the Kaiser Center for Health Research to examine nursing practice outcomes. Several OHSU School of Nursing faculty have used the model of clinical judgment that evolved out of this work to develop measures of clinical judgment (Kathie Lasater), to evaluate the construct validity of the clinical judgment measure (Stephanie Sideras) , to evaluate the effect of simulation on clinical judgment skill (Paula Gubrud-Howe) and to develop other instructional methods to foster development of skill in clinical judgment.
For the last decade, I have been involved in creating educational solutions to the nursing shortage, including ways to increase enrollment and prepare a new kind of nurse in the context of rapid changes in the nursing practice environment and rapidly evolving health care needs. The Oregon Consortium for Nursing Education (OCNE) was launched in 2003, as a partnership among OHSU and several community colleges, designed to incorporate best practices in teaching and learning with a shared curriculum that focuses emerging foci of care—health promotion, chronic illness management, as well as acute care, and on skills needed by the nurse in this rapidly changing environment – population-based and systems thinking, sound clinical judgment using best available evidence, and the ability to work with and lead interdisciplinary teams. OCNE faculty are currently involved in the development of a new clinical education model that is better suited to the development of the “new” nurse. We are also engaged in the conduct of a comprehensive evaluation of the OCNE model." (www.ocne.org)
TEACHING AND RESEARCH
I teach courses that focus on nursing education for students in the masters’, postmasters’ and PhD programs. I work with doctoral students who are pursuing research interests related to clinical judgment, clinical education, and simulation. As Editor of the Journal of Nursing Education, I work with faculty and graduate students on the development of manuscripts for publication.
SELECTED PUBLICATIONS
Tanner, C.A., Gubrud-Howe, P., & Shores, L. (In press). The Oregon Consortium for Nursing Education: A Response to the Nursing Shortage. Policy, Politics and Nursing Practice.
Tanner, C.A. (2007). The Practice Mandate—20 Years Later. In Ironside, P.L. (Ed). On Revolutions and Revolutionaries. New York: National League for Nursing.
Valanis BG. Gullion CM. Moscato SR. Tanner C. Izumi S. Shapiro SE. (2007) Predicting patient follow-through on telephone nursing advice. Clinical Nursing Research; 16(3): 251-69.
Moscato, S.R., Valanis, B., Gullion, C.M., Tanner, C., Shapiro, S., & Izumi, S (2007). Predictors of patient satisfaction with telephone nursing services. Clinical Nursing Research, 14(2), 119 -137.
Tanner, C.A. (2006). Thinking like a nurse: a research-based model of clinical judgment. Journal of Nursing Education, 45(6), 204-211
Shapiro, S.E., Izumi,S., Tanner, C.A., Moscato, SR, Valanis, B.G., David, M.R., Gullion, C.M. (2004) Telephone advice nursing services in a US health maintenance organization. Journal of Telemedicine & Telecare 10(1):50-54.
Gubrud-Howe P. Shaver KS. Tanner C.A. Bennett-Stillmaker J. Davidson SB. Flaherty-Robb M. Goudreau K. Hardham L. Hayden C. Hendy S. Omel S. Potempa K. Shores L. Theis S. Wheeler P. (2003) A challenge to meet the future: nursing education in Oregon, 2010. Journal of Nursing Education. 42(4):163-7
Moscato, S., David, M., Valanis, B., Gullion, C., Tanner, C. Shapiro, S. Izumi, S (2003) Measuring caller-identified outcomes of Telephone advice nursing. Journal of Clinical Nursing Research.12(3):266-81,
Valanis, B., Tanner, C. Moscato, S., Shapiro, S. Izumi, S. David, M. Keyes, C. Mayo, A.(2003)A model for examining predictors of telephone nursing advice outcomes. Journal of Nursing Administration. 33(2):91-5
Valanis, B. Moscato, S. Tanner, C. Shapiro, S. Izumi, S. David, M. Mayo, A. (2003) Making it Work: Organization and Processes of Telephone Nursing Advice Services. Journal of Nursing Administration. 33(4):216-23.
Northwest Health Foundation and Christine A. Tanner (2001). Oregon’s Nursing Shortage: A public health crisis in the making. Portland, OR: NWHF.
Benner, P., Tanner, C., & Chesla, C. (1996). Expertise in nursing practice: Caring, clinical judgment, nd ethics. New York: Springer.
Tanner, C., Benner, P., Chesla, C. (1993). Phenomenology of knowing a patient. Image: The Journal of Nursing Scholarship.
Benner, P., Tanner, C.A., & Chesla, C. (1992). From beginner to expert: Gaining a differentiated clinical world in critical care nursing practice. Advances in Nursing Science, 14(1).